Skip to main content
PMC home page
Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 2002 Jan;94(1):5–14.

Assessing screening mammography utilization in an urban area.

Bruce Allen Jr 1, Roshan Bastani 1, Shahrzad Bazargan 1, Earl Leonard 1
PMCID: PMC2594080  PMID: 11837354

Abstract

This study was conducted to determine the predictors of screening mammography among women 40 years old and older residing in South Central Los Angeles, California. The population is predominately African American and Hispanic. Using Computer Assisted Telephone Interview (CATI) software and the Random Digit Dialing (RDD) method, a 54-item, 20-min questionnaire was administered to 505 women. All interviews were conducted in English or Spanish. The Health Belief Model provided the conceptual framework for the design of the questionnaire. A majority (81.8%) of the participants reported having at least one mammogram in their lifetime, with African Americans reporting the lowest rate (74.7%). Multiple logistic regression analyses found that 4 of the 23 independent variables assessed were predictive of ever users of mammography (p < 0.05), while 6 independent variables were predictive of never users of mammography (p < 0.05). A significant finding of this study is the lower rate of screening mammography utilization in this sample compared to estimates for the general population. The results of this study also suggest that substantial improvements in the rate of screening mammography could be achieved if women in their 40s, who are without health insurance, were referred by their physicians to have affordable mammograms every year or two.

Full text

PDF
5

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bastani R., Kaplan C. P., Maxwell A. E., Nisenbaum R., Pearce J., Marcus A. C. Initial and repeat mammography screening in a low income multi-ethnic population in Los Angeles. Cancer Epidemiol Biomarkers Prev. 1995 Mar;4(2):161–167. [PubMed] [Google Scholar]
  2. Bastani R., Marcus A. C., Hollatz-Brown A. Screening mammography rates and barriers to use: a Los Angeles County survey. Prev Med. 1991 May;20(3):350–363. doi: 10.1016/0091-7435(91)90034-2. [DOI] [PubMed] [Google Scholar]
  3. Bastani R., Marcus A. C., Maxwell A. E., Das I. P., Yan K. X. Evaluation of an intervention to increase mammography screening in Los Angeles. Prev Med. 1994 Jan;23(1):83–90. doi: 10.1006/pmed.1994.1012. [DOI] [PubMed] [Google Scholar]
  4. Costanza M. E. The extent of breast cancer screening in older women. Cancer. 1994 Oct 1;74(7 Suppl):2046–2050. doi: 10.1002/1097-0142(19941001)74:7+<2046::aid-cncr2820741710>3.0.co;2-u. [DOI] [PubMed] [Google Scholar]
  5. Douglass M., Bartolucci A., Waterbor J., Sirles A. Breast cancer early detection: differences between African American and white women's health beliefs and detection practices. Oncol Nurs Forum. 1995 Jun;22(5):835–837. [PubMed] [Google Scholar]
  6. Duke S. S., Gordon-Sosby K., Reynolds K. D., Gram I. T. A study of breast cancer detection practices and beliefs in black women attending public health clinics. Health Educ Res. 1994 Sep;9(3):331–342. doi: 10.1093/her/9.3.331. [DOI] [PubMed] [Google Scholar]
  7. Fajardo L. L., Saint-Germain M., Meakem T. J., 3rd, Rose C., Hillman B. J. Factors influencing women to undergo screening mammography. Radiology. 1992 Jul;184(1):59–63. doi: 10.1148/radiology.184.1.1609103. [DOI] [PubMed] [Google Scholar]
  8. Flood A. B., Wennberg J. E., Nease R. F., Jr, Fowler F. J., Jr, Ding J., Hynes L. M. The importance of patient preference in the decision to screen for prostate cancer. Prostate Patient Outcomes Research Team. J Gen Intern Med. 1996 Jun;11(6):342–349. doi: 10.1007/BF02600045. [DOI] [PubMed] [Google Scholar]
  9. Fox S. A., Roetzheim R. G. Screening mammography and older Hispanic women. Current status and issues. Cancer. 1994 Oct 1;74(7 Suppl):2028–2033. doi: 10.1002/1097-0142(19941001)74:7+<2028::aid-cncr2820741707>3.0.co;2-6. [DOI] [PubMed] [Google Scholar]
  10. Gotay C. C., Issell B. F., Hernandez B. Y., Serxner S. Barriers to mammography in a low income, multiethnic clinic population. Hawaii Med J. 1996 Aug;55(8):136–140. [PubMed] [Google Scholar]
  11. Hedegaard H. B., Davidson A. J., Wright R. A. Factors associated with screening mammography in low-income women. Am J Prev Med. 1996 Jan-Feb;12(1):51–56. [PubMed] [Google Scholar]
  12. Holm C. J., Frank D. I., Curtin J. Health beliefs, health locus of control, and women's mammography behavior. Cancer Nurs. 1999 Apr;22(2):149–156. doi: 10.1097/00002820-199904000-00007. [DOI] [PubMed] [Google Scholar]
  13. Hubbell F. A., Mishra S. I., Chavez L. R., Valdez R. B. The influence of knowledge and attitudes about breast cancer on mammography use among Latinas and Anglo women. J Gen Intern Med. 1997 Aug;12(8):505–508. doi: 10.1046/j.1525-1497.1997.00090.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Janz N. K., Becker M. H. The Health Belief Model: a decade later. Health Educ Q. 1984 Spring;11(1):1–47. doi: 10.1177/109019818401100101. [DOI] [PubMed] [Google Scholar]
  15. Lerman C., Rimer B., Trock B., Balshem A., Engstrom P. F. Factors associated with repeat adherence to breast cancer screening. Prev Med. 1990 May;19(3):279–290. doi: 10.1016/0091-7435(90)90028-i. [DOI] [PubMed] [Google Scholar]
  16. Mandelblatt J., Andrews H., Kao R., Wallace R., Kerner J. Impact of access and social context on breast cancer stage at diagnosis. J Health Care Poor Underserved. 1995;6(3):342–351. doi: 10.1353/hpu.2010.0449. [DOI] [PubMed] [Google Scholar]
  17. McDonald P. A., Thorne D. D., Pearson J. C., Adams-Campbell L. L. Perceptions and knowledge of breast cancer among African-American women residing in public housing. Ethn Dis. 1999 Winter;9(1):81–93. [PubMed] [Google Scholar]
  18. Preston J. A., Scinto J. D., Ni W., Wang Y., Galusha D., Schulz A. F., Petrillo M. K. Mammography underutilization among older women in Connecticut. J Am Geriatr Soc. 1997 Nov;45(11):1310–1314. doi: 10.1111/j.1532-5415.1997.tb02929.x. [DOI] [PubMed] [Google Scholar]
  19. Rimer B. K. Interventions to increase breast screening. Lifespan and ethnicity issues. Cancer. 1994 Jul 1;74(1 Suppl):323–328. doi: 10.1002/cncr.2820741317. [DOI] [PubMed] [Google Scholar]
  20. Rutledge D. N., Hartmann W. H., Kinman P. O., Winfield A. C. Exploration of factors affecting mammography behaviors. Prev Med. 1988 Jul;17(4):412–422. doi: 10.1016/0091-7435(88)90040-0. [DOI] [PubMed] [Google Scholar]
  21. Skinner C. S., Sykes R. K., Monsees B. S., Andriole D. A., Arfken C. L., Fisher E. B. Learn, share, and live: breast cancer education for older, urban minority women. Health Educ Behav. 1998 Feb;25(1):60–78. doi: 10.1177/109019819802500106. [DOI] [PubMed] [Google Scholar]
  22. Taylor V. M., Thompson B., Montano D. E., Mahloch J., Johnson K., Li S. Mammography use among women attending an inner-city clinic. J Cancer Educ. 1998 Summer;13(2):96–101. doi: 10.1080/08858199809528524. [DOI] [PubMed] [Google Scholar]
  23. Underwood S. M. Breast cancer screening among African American women: addressing the needs of African American women with known and no known risk factors. J Natl Black Nurses Assoc. 1999 Spring;10(1):46–55. [PubMed] [Google Scholar]
  24. Valdini A., Cargill L. C. Access and barriers to mammography in New England community health centers. J Fam Pract. 1997 Sep;45(3):243–249. [PubMed] [Google Scholar]
  25. Weissfeld J. L., Brock B. M., Kirscht J. P., Hawthorne V. M. Reliability of health belief indexes: confirmatory factor analysis in sex, race, and age subgroups. Health Serv Res. 1987 Feb;21(6):777–793. [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of the National Medical Association are provided here courtesy of National Medical Association

RESOURCES